Search › Connecticut › 101YA0400X
Kelly Mahan, LADC, LPCA
NPI 1518881747 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2969 Whitney Ave
Hamden, CT 06518 - Phone
- (203) 909-2085
- Organisation at this address
- Heirloom Nutrition Pllc
Hawthorn Holistic Health LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YM0800X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut